Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mike David

Individual provider Physician Assistant · NPI 1013469295

Mike David is a Physician Assistant in Bronx, New York. Qualified in 2016, 10 years ago. Practices with Advanced Dermatology PC, a 67-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
10
Licensed in
NY
In the registry since
2016
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Practice location Address checks out

1455 W Ave
Bronx, NY 10462-7304
Phone: (718) 239-1500
Fax: (929) 481-4887
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 2432 Grand Concourse, Bronx, NY 10458-5204 — (718) 537-5000
  • 2100 Bartow Ave Ste 211, Bronx, NY 10475-4614 — (718) 671-1000
  • 3751 82nd St, Jackson Heights, NY 11372-7031 — (718) 829-9000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 020342 (NY)

Record details

NPI number1013469295
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 3, 2016
Last updated in NPPESMarch 21, 2025
Certification dateMarch 21, 2025
Mailing address3 Pawnee Dr, Commack, NY 11725-4210

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Advanced Dermatology Pc — 67 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Bronx